Basic Information
Provider Information
NPI: 1790855906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCALMATI
FirstName: ALESSANDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD,PH.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 595 W 239TH ST
Address2: APT. 4A
City: BRONX
State: NY
PostalCode: 104631291
CountryCode: US
TelephoneNumber: 7186713135
FaxNumber: 7183201116
Practice Location
Address1: MMG - CO-OP CITY
Address2: 2100 BARTOW AVENUE, STE. 311
City: BRONX
State: NY
PostalCode: 10475
CountryCode: US
TelephoneNumber: 7186713135
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X234262NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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